Chef Health and Safety Form Template
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Chef Health and Safety Form

Please complete this form to help ensure a safe and healthy working environment. Take a few moments to answer the questions below.

Name

    Date

      Health Check

      Are you feeling well today?

      Do you have any known allergies?

      If yes, please list

        Are you currently taking any medication that may affect your work performance?

        If yes, please specify

          Work Environment Safety

          Are you aware of all kitchen safety protocols?

          Have you received proper training for using kitchen equipment?

          Are the kitchen floors clean and free from any hazards (spills, etc.)?

          Are you using personal protective equipment (PPE) when required?

          Emergency Procedures

          Do you know the location of first aid supplies?

          Do you know the emergency evacuation procedure?

          By signing below, you confirm that the information provided is accurate and that you are ready to work in a safe and healthy environment.

          Name:

          Date:

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